| NPI | 1821452889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NV LPN15767) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: AZ LP050763) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |